Provider Demographics
NPI:1295460434
Name:ANGEL SENIOR CARE LLC
Entity Type:Organization
Organization Name:ANGEL SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:W
Authorized Official - Last Name:MUIGAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-519-0235
Mailing Address - Street 1:850 S LONGMORE APT 173
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-3177
Mailing Address - Country:US
Mailing Address - Phone:480-519-0235
Mailing Address - Fax:480-597-3534
Practice Address - Street 1:850 S LONGMORE APT 173
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-3177
Practice Address - Country:US
Practice Address - Phone:480-519-0235
Practice Address - Fax:480-597-3534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care